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News from St. Vincent Charity - July 2016

By Admin on 
Posted on July 29, 2016

ST. VINCENT CHARITY MEDICAL CENTER WORKED WITH ALL CLEVELAND AREA HOSPITALS TO PREPARE FOR REPUBLICAN NATIONAL CONVENTION.

Area health systems, including St. Vincent Charity Medical Center, coordinated services that may have been needed for possible public health scenarios during the Republican National Convention (RNC) held in Cleveland in mid-July. Thousands attended and Cleveland’s health systems were ready. 

St. Vincent Charity Medical Center, Cleveland Clinic, MetroHealth, and University Hospitals, along with city and county officials and Cleveland’s Division of Emergency Medical Services met for the past year to work together to put everything in place. Global events like the 2013 Boston Marathon bombing, the bombing in Brussels in March and last month’s shootings in Orlando have certainly increased awareness and the need to be prepared for the possibility of a large number of patients to be treated.

In additional to paramedics and nurses, the Convention had on-site board certified emergency physicians and ambulances prepared to quickly transport to local hospitals, with planned exits to steer clear of the foot traffic of convention attendees. The health systems worked together to staff a nurse triage phone line set up to assist attendees with questions regarding urgent care, forgotten prescriptions, and medical advice.

Each health system was assigned a specific duty during the RNC. St. Vincent Charity’s emergency department was prepared to see the majority of walk-in appointments due to the close proximity to the Convention location.This event gave St. Vincent Charity the opportunity to demonstrate what Clevelanders already know, that the care received at St. Vincent Charity is exceptional.

 

ST. VINCENT CHARITY MEDICAL CENTER ORTHOPEDIC SURGEON, MARK GRUBB, MD PERFORMS FIRST ELITE EXPANDABLE INTERBODY FUSION SYSTEM

 
Dr. Mark Grubb, an orthopedic surgeon at St. Vincent Charity Medical Center, is the first to perform the  Elite Expandable Interbody Fusion System procedure. The device is designed by Spineology for surgeons to implant the fusion system to restore anatomical alignment of the spine.

The system is implanted at a minimal height into the disc space, and then expanded. The design aims to minimize neural retraction. Dr. Grubb is part of the team of top surgeons at St. Vincent Charity’s Spine and Orthopedic Institute.  He specializes in minimally-invasive spine surgery and his areas of interest are back pain, neck pain, and spine pain. 

 

ST. VINCENT CHARITY ORTHOPEDIC SURGEON FIRST TO USE NEW SYSTEM FOR REVISION KNEE REPLACEMENT SURGERY.

Dr. Bernard Stulberg, orthopedic surgeon at St. Vincent Charity Medical Center has seen a remarkable decrease in the average age of patients needing knee replacement surgeries. As one of the nation’s leading surgeons of joint replacement, he was being highly sought after for his expertise in revision surgeries for failed joint replacements.

“We now see much younger patients opting for surgery.  Given that the average knee lasts 15 to 20 years, we know we are going to continue to see an increase in the need for revisions,” Dr. Stulberg said. “Given the challenges of revision surgeries, we need devices that are more predictable for the surgeon and bring better results to the patient.”

The statistics are overwhelming. The Arthritis Foundation reports on a study presented at the 2014 American Academy of Orthopaedic Surgeons found a 188 percent increase over the last 10 years in knee replacement surgeries among 45 to 64 year olds.  During this same time, the number of revision surgeries increased by more than 130 percent.

Faced with the growing need for surgeons to be able to customize to a patient's individual needs, that often a surgeon cannot determine until they are in the operating room, a new joint restorate product was needed, and Dr. Stulberg was part of the team that did just that.

A premier manufacturer of joint restoration products, Exactech®, along with some of the world’s leading revision surgeons designed a new system to provide surgeons the ability to adapt to an individual patient’s needs in real-time, in the operating room. 

Surgeons can actually build the knee implant in the operating room to adjust for bone loss, ensure the knee is lined up properly and that the ligaments are in the right balance to provide long-term stability. The system includes ergonomically designed instrumentation designed to improve the overall range of motion after surgery.

“With a revision, you are not dealing with normal bone and ligament structure. As a result, you do not know what you will find until you get in there,” Dr. Stulberg said. “There are judgments that need to be made during surgery that you cannot anticipate ahead of time.”

Last fall, Dr. Stulberg became the first surgeon to use this new system for his patient, Cleveland resident Linda Harvey. This marked Linda’s third knee replacement after a fall which left her unable to navigate her stairs or walk unassisted.

After finishing rehab, Linda is now walking without a cane for the first time since she can remember. 

“It was a blessing that I was referred to Dr. Stulberg,” Linda said. “I told him it was my wish to be able to walk without a cane and get up and down my stairs without any problem. My wish came true.”
 
Dr. Stulberg said he was more than pleased with Linda’s outcome, particularly with Linda’s excellent early stability which allowed her to be released to her home, just two days after surgery.
 
“The instruments were intuitive, comfortable to use and allowed for a straightforward and accurate approach to assessing bone loss. It enabled me to re-establish proper implant position, alignment and stability,” Dr. Stulberg said. “To be involved in the development of this system was a satisfying experience because I know it will assist many surgeons address the myriad of problems encountered in revision total knee replacement.”
 
For now, Dr. Stulberg, and the team of five other revision experts in the development group are the only surgeons who are able to use this new system until it is released nationwide this fall. The system will include ground-breaking technology utilizing computers in the operating room to help navigate surgery.

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